Porter, Mary Vivian
Porter, Mary Vivian is an individual health care provider with primary practice located at 6021 Morriss Road Suite 110B, Flower Mound TX 75028-3764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Porter, Mary Vivian can be contacted via phone (972) 420-8834.Contact Information
Primary practice address
6021 Morriss Road Suite 110B
Flower Mound TX 75028-3764
Phone: (972) 420-8834
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 08339 | Texas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4222 | Texas |
Profile Details
NPI number | 1700924016 |
---|---|
LBN Legal business name | Porter, Mary Vivian |
Credentials | LCSW LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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